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The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

On Friday, January 23, 2026, the Trump administration released the latest expansion of the Mexico City Policy (MCP). The controversial policy, which had restricted foreign non-governmental organizations (NGOs) from performing or promoting abortion as a method of family planning as a condition of receiving most U.S. global health aid, has been broadened significantly to include more organizations (not just foreign NGOs) and most U.S. foreign aid. Also, the policy now prohibits activities related to diversity, equity, and inclusion (DEI) as well as support for gender-affirming care and services, and legal protections based on gender identity (among other activities). This move marks the most significant expansion of the MCP in more than 40 years — extending its reach far beyond the policy’s expansion during Trump’s first term.

This analysis assesses the potential reach of the latest expansion of the Mexico City Policy, which is now part of the Promoting Human Flourishing in Foreign Assistance (PHFFA) Policy.

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

Global Health Budget Summaries

Overview of President Trump’s Executive Actions on Global Health

selected resources

Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

the essentials

Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • Global Health Diplomacy: Advancing Foreign Policy and Global Health Interests

    Issue Brief

    This article examines the growing attention to global health diplomacy and its future outlook as donor nations continue to face tight budgetary conditions. Authored by Joshua Michaud and Jennifer Kates of the Kaiser Family Foundation, the article was published in the inaugural issue of the Global Health: Science and Practice journal in March 2013. Article

  • Chartpack: Trends in U.S.-Funding for HIV/AIDS

    Report

    This chartpack, "Trends in U.S. Government Funding for HIV/AIDS," provides an analysis of U.S. federal funding for HIV/AIDS since fiscal year (FY) 1981. It presents data and trends in the major categories of funding -- care, cash and housing assistance, research, prevention, and global/international -- over time. Cumulatively through its FY 2004, the US government has invested approximately $150 billion for domestic and international HIV/AIDS programs. Chartpack Issue Brief

  • Kaiser/UNAIDS Study Finds No Real Change In Donor Funding For HIV

    News Release

    This report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) evaluates international efforts to finance the response to the AIDS epidemic. The annual funding analysis finds donor governments disbursed US$7.86 billion toward the AIDS response in low-and middle-income countries in 2012, essentially unchanged from the US$7.63 billion level in 2011 after adjusting for inflation.

  • U.S. Humanitarian Assistance and Global Health Policy: Opportunities and Barriers for More Effective Coordination

    Issue Brief

    This brief presents key findings from a Kaiser Family Foundation review and analysis of the policy and financing landscape where U.S. humanitarian assistance and global health assistance meet. It also summarizes a July 2013 roundtable discussion convened by the Foundation focusing on opportunities, challenges, and potential next steps for more effective coordination between humanitarian assistance and global health programs.

  • Analysis: Global Health Funding in the FY15 Omnibus Appropriations Act 

    News Release

    The FY15 Omnibus Appropriations Act contains $5.4 billion in emergency funding to address the Ebola crisis – a significant increase in total U.S. support for global health. Aside from the additional funding for Ebola, global health funding remained essentially flat at $9.2 billion, according to a new Kaiser Family Foundation funding analysis. Of the total emergency funding to respond to Ebola, which is outside the budget caps for discretionary spending, $3.7 billion is specifically for…

  • CANCELLED: March 17 Event: U.S. Global Health Diplomacy and the Role of Ambassadors

    Event Date:
    Event

    The Kaiser Family Foundation is hosting a panel discussion of U.S. Ambassadors to look at how diplomacy intersects with global health, how the U.S. government's new focus on global health diplomacy is reshaping the work of U.S. Ambassadors with partner countries, and how the new Office of Global Health Diplomacy relates to and coordinates with other parts of the U.S. government's global health architecture and foreign policy.

  • Expanded U.S. University Engagement in Global Health

    Event Date:
    Event

    The Center for Strategic and International Studies Global Health Policy Center sponsored this event featuring Dr. Michael H. Merson, director of the Duke Global Health Institute, to discuss the unprecedented surge of attention and growth in global health programs on university campuses across the United States.

  • The G-8 and the Obama Administration: What Happened on the Global Health Initiative and New Food Security Effort?

    Event Date:
    Event

    This briefing co-sponsored by the Kaiser Family Foundation and the Center for Strategic and International Studies (CSIS) Global Health Policy Center examined the outcomes arising from the Group of Eight (G-8) summit in Italy in July 2009 relating to key global health issues, particularly the Obama Administration's new Global Health Initiative and its newly launched global food security strategy.